Aqua therapy w/exercise/ea 15 min 97113 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$98.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$164.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$10.08 with Aetna vs $152.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $10.08 | ↓ -90% |
| Geisinger | Medicaid | $13.34 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.48 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.36 | ↓ -83% |
| Aetna | Commercial | $38.22 | ↓ -61% |
| BCBS of Western NY | Medicare Advantage | $45.00 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $45.46 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $45.92 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $45.92 | ↓ -53% |
| United Healthcare | Medicare | $45.92 | ↓ -53% |
| Humana | Medicare | $46.38 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $47.07 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $47.07 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $47.56 | ↓ -52% |
| Cigna | Medicare | $48.22 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $48.77 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $49.59 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $49.59 | ↓ -50% |
| Aetna | Medicare | $50.02 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $65.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $86.63 | ↓ -12% |
| UPMC Health Plan | Commercial | $114.80 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $115.74 | ↑ +18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $115.74 | ↑ +18% |
| Geisinger | Commercial | $123.00 | ↑ +25% |
| InterGroup | PPO | $131.20 | ↑ +33% |
| Humana | Commercial | $131.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $131.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $131.20 | ↑ +33% |
| Multiplan | PPO/Auto | $131.20 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $140.94 | ↑ +43% |
| Highmark BCBS of PA | Commercial - Indemnity | $140.94 | ↑ +43% |
| United Healthcare | Commercial | $152.00 | ↑ +54% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $126.00 | $9.60 – $168.00 |
| UPMC Carlisle | Carlisle | $69.60 | $10.96 – $387.00 |
| UPMC East | Monroeville | $110.40 | $10.56 – $147.20 |
| UPMC Hanover | Hanover | $69.60 | $12.19 – $148.00 |
| UPMC Kane | Kane | $72.00 | $10.56 – $154.77 |
| UPMC Lititz | Lititz | $48.00 | $12.19 – $148.00 |
| UPMC Memorial | York | $48.00 | $12.19 – $148.00 |
| UPMC Mercy | Pittsburgh | $126.60 | $10.56 – $60.66 |